<div class="tab-header">
    <div class="title">
        <i class="fa fa-bars"></i><span>救援物资信息管理</span>
    </div>
    <div class="tool">
        <button id="saveBtn" class="btn btn-default"><i class="fa fa-save"></i> 保存</button>
    </div>
</div>
<div class="single-panel">
    <form id="fxRescueForm" class="form-horizontal" >
        <div class="row">
            <div class="col-md-6 form-horizontal">
                <div class="form-group cityCountyName">
                    <label class="col-md-4 control-label" for="cityCountyName"><span class="requird">*</span>市县名称</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox selectpicker" id="cityCountyName" name="cityCountyName" data-live-search="true"></select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group surveySpotName">
                    <label class="col-md-4 control-label" for="surveySpotName"><span class="requird">*</span>调查点名称</label>
                    <div class="col-md-8">
                    	<select class="form-control easyui-combobox selectpicker1" id="surveySpotName" name="surveySpotName" data-live-search="true"></select>
                        
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="province"><span class="requird">*</span>省</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="province" name="province">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="city"><span class="requird">*</span>市</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="city" name="city">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="area"><span class="requird">*</span>区</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="area" name="area">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="tent"><span class="requird">*</span>帐篷</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="tent" name="tent" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="quilt"><span class="requird">*</span>棉被</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="quilt" name="quilt" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="cottonClothes"><span class="requird">*</span>棉服</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="cottonClothes" name="cottonClothes" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="food"><span class="requird">*</span>食品</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="food" name="food" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="water"><span class="requird">*</span>饮水</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="water" name="water" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="stretcher"><span class="requird">*</span>担架</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="stretcher" name="stretcher" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="rescueEquipment"><span class="requird">*</span>救援装备</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="rescueEquipment" name="rescueEquipment" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="fireControl">消防</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="fireControl" name="fireControl" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="army">军队</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="army" name="army" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="volunteer">志愿者</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="volunteer" name="volunteer" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="otherRescue">其他-应急救援力量</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="otherRescue" name="otherRescue" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="shelterNum">避难场所建设-个数</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="shelterNum" name="shelterNum" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="shelterArea">避难场所建设-面积</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="shelterArea" name="shelterArea" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="shelterContainPopulation">避难场所建设-容纳人数</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="shelterContainPopulation" name="shelterContainPopulation" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="medicalCare">医疗救护情况</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="medicalCare" name="medicalCare" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="threeNetworkMergence">三网一员建设情况</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="threeNetworkMergence" name="threeNetworkMergence" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="emergencyExercise">应急演练开展情况</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="emergencyExercise" name="emergencyExercise" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="lifelineEmergencySupport">生命线应急保障情况</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="lifelineEmergencySupport" name="lifelineEmergencySupport" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="secondaryDisasterPrevention">次生灾害防范情况</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="secondaryDisasterPrevention" name="secondaryDisasterPrevention" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="isHasContingencyPlan">是否有应急预案（是、否）</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="isHasContingencyPlan" name="isHasContingencyPlan" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="isHasPlanFile">预案文件（是、否）</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="isHasPlanFile" name="isHasPlanFile" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="emergencyCountermeasureAdvice">应急对策建议</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="emergencyCountermeasureAdvice" name="emergencyCountermeasureAdvice" />
                    </div>
                </div>
            </div>
            <input type="hidden" id="id" name="id" />
            <input type="hidden" id="updateTime" name="updateTime" />
            <input type="hidden" id="createUser" name="createUser" />
            <input type="hidden" id="objectCode" name="objectCode" />
            <input type="hidden" id="partitionFlag" name="partitionFlag" />
            <input type="hidden" id="isValid" name="isValid" />
            <input type="hidden" id="updateUser" name="updateUser" />
            <input type="hidden" id="createTime" name="createTime" />
        </div>
    </form>
</div>
